KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Footwear

High YieldFoot & AnklethinKbox SBA

Principles

Appropriate footwear can reduce symptoms, improve gait and accommodate deformity.

Characteristics of good footwear

  • Correct length and width
  • Adequate toe box
  • Stable heel counter
  • Appropriate sole stiffness and rocker when needed
  • Secure fastening
  • Cushioning suited to the condition

Orthopaedic uses

  • Diabetic foot protection
  • Rheumatoid forefoot deformity
  • Hallux rigidus or first-ray pain
  • Plantar fasciitis and heel pain
  • Custom footwear after amputation or major deformity

Assessment

  • Inspect wear pattern
  • Assess fit with standing and walking
  • Consider orthosis compatibility

Diagram

Footwear

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026